Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | Tim Miller Memorial Club |
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| Attention | Caleb T Miller |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | |
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| Po Box | 20745 |
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| Locality | Hot Springs National |
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| County | Garland |
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| State | AR - Arkansas |
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| Postal Code | 71903 |
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| Zip Location | 34°34'53.0"N 93°05'57.8"W |
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| Maidenhead | EM34kn |
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| FRN | 0021210802 |
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| Geo Region | 5 / AR |
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| Licensee ID/SGIN | L01666192 / 000 |
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| Callsign | KF5MZV |
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| Last Action Date | 2011-11-04 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | I - Online |
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| App Status | D - Dismissed |
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| Entered Timestamp | 2011-10-17 |
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| Fee Control Num | PGC2021302 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Mon 2011-10-17 |
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| Payment Date | 2011-10-17 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | D - 2x3 |
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| Licensee Class | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | KE5SHR |
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| Trustee Name | Miller, Caleb T |
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| ULS Group / ULS Region | D / 5 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | Child |
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| Vanity Type | D - In Memoriam (Club) |
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| Fee Exempt / Waiver | N / N |
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